Which diagnostic finding is assessed by the nurse when a child has primary nephrotic syndrome?
a. Hyperalbuminemia
b. Positive ASO titer
c. Leukocytosis
d. Proteinuria
D
Large amounts of protein are lost through the urine as a result of an increased permeability of the glomerular basement membrane. Hypoalbuminemia is present because of loss of albumin through the defective glomerulus and the liver's inability to synthesize proteins to balance the loss. ASO titer is negative in a child with primary nephrotic syndrome. Leukocytosis is not a diagnostic finding in primary nephrotic syndrome.
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Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow?
A) A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use B) A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM C) A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells D) A 9-year-old girl who has a diagnosis of IgA deficiency
The nurse is preparing a client for a non–stress test (NST). Which interventions should the nurse plan to implement? (Select all that apply.)
a. Ensure that the client has a full bladder. b. Plan approximately 15 minutes for the test. c. Have the client sit in a recliner with the head elevated 45 degrees. d. Apply electronic monitoring equipment to the client's abdomen. e. Instruct the client to press an event marker every time she feels fetal movement.
The nurse is caring for a patient with a halo device and vest. Which of the following must be included in this patient's plan of care?
1. use the vest to reposition the patient 2. tape a halo vest wrench to the front of the vest 3. assess motor and sensory function every 8 hours 4. expect skin breakdown around the vest edges
The mother of a 7-year-old child says to the nurse, "My child is distractible in school, cannot complete assignments on time, and interrupts other children while they are speaking. What do you think?" What is the best response by the nurse?
1. "This sounds like your child is depressed; depression looks different in children and is very serious." 2. "This sounds like bipolar disorder; you might want to have your child tested by a child psychiatrist." 3. "This could be attention-deficit hyperactivity disorder (ADHD); you might want to have your child tested." 4. "This sounds like typical 7-year-old behaviors to me; if they do not resolve, have your child tested."